| NPI | 1306879374 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: PA MD072249L) |
| Additional Taxonomies | 174400000X Specialist (Licence: PA MD-072249-L) |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2019-06-17 |